Provider Demographics
NPI:1629120365
Name:JOHNSON, CHEREE SANDNESS (DC)
Entity Type:Individual
Prefix:
First Name:CHEREE
Middle Name:SANDNESS
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHEREE
Other - Middle Name:M
Other - Last Name:SANDNESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7250 PEAK DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9027
Mailing Address - Country:US
Mailing Address - Phone:702-215-2090
Mailing Address - Fax:702-215-2092
Practice Address - Street 1:7250 PEAK DR
Practice Address - Street 2:SUITE 106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9027
Practice Address - Country:US
Practice Address - Phone:702-215-2090
Practice Address - Fax:702-215-2092
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00906111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor